| NPI | 1285250332 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 3061) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NE 12187) |
| Enumeration Date | 2020-06-24 |
| Last Update Date | 2024-05-31 |