| NPI | 1245508472 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NE 6229) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NM T-0144861) |
| 101YM0800X Counselor, Mental Health (Licence: NE 3001) | |
| Enumeration Date | 2011-12-02 |
| Last Update Date | 2025-06-12 |