| NPI | 1255496790 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 570) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 2501) |
| 101YM0800X Counselor, Mental Health (Licence: NE 1362) | |
| Enumeration Date | 2006-12-26 |
| Last Update Date | 2023-11-13 |