| NPI | 1427240159 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: NE 1458) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: NE 8411) |
| Enumeration Date | 2007-08-16 |
| Last Update Date | 2021-02-02 |