| NPI | 1386365559 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 13127) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 7767) |
| Enumeration Date | 2022-09-07 |
| Last Update Date | 2022-09-07 |