| NPI | 1326337650 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NV CP5132-R) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 1355) |
| 101YM0800X Counselor, Mental Health (Licence: CA 7716) | |
| Enumeration Date | 2011-04-07 |
| Last Update Date | 2022-03-28 |