| NPI | 1376131706 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 3042) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 12443) |
| Enumeration Date | 2020-12-31 |
| Last Update Date | 2024-08-07 |