| NPI | 1336483528 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 2155) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IA 001740) |
| Enumeration Date | 2012-11-12 |
| Last Update Date | 2022-09-13 |