| NPI | 1417317744 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 5060) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 10803) |
| Enumeration Date | 2016-02-29 |
| Last Update Date | 2018-09-12 |