| NPI | 1396398186 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 5346) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NE 2524) |
| Enumeration Date | 2019-07-20 |
| Last Update Date | 2019-07-20 |