| NPI | 1396048393 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: NV CP0092) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: NE 9264) |
| Enumeration Date | 2010-12-13 |
| Last Update Date | 2020-10-28 |