| NPI | 1427400662 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 5135) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 2447) |
| Enumeration Date | 2016-07-12 |
| Last Update Date | 2018-09-12 |