| NPI | 1366920209 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 5514) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 11435) |
| Enumeration Date | 2018-08-02 |
| Last Update Date | 2022-08-22 |