| NPI | 1245854710 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 3524) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 6068) |
| 101YM0800X Counselor, Mental Health (Licence: NE 12217) | |
| Enumeration Date | 2020-06-01 |
| Last Update Date | 2023-12-20 |