| NPI | 1366926339 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 3354) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NE 11666) |
| Enumeration Date | 2018-09-17 |
| Last Update Date | 2025-02-03 |