| NPI | 1295234599 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 1874) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: 1099) |
| Enumeration Date | 2018-02-02 |
| Last Update Date | 2018-02-02 |