| NPI | 1407339567 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 2442) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IA 121548) |
| 101YM0800X Counselor, Mental Health (Licence: NE 206) | |
| Enumeration Date | 2018-09-13 |
| Last Update Date | 2023-11-03 |