| NPI | 1255626321 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: NE 1405) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: NE 9418) |
| Enumeration Date | 2011-06-16 |
| Last Update Date | 2023-10-26 |