| NPI | 1245489418 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 4318) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 8687) |
| Enumeration Date | 2008-09-12 |
| Last Update Date | 2021-02-02 |