| NPI | 1356861603 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 5328) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 2521) |
| Enumeration Date | 2017-06-27 |
| Last Update Date | 2019-12-31 |