| NPI | 1447982251 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 3208) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 12569) |
| Enumeration Date | 2022-06-29 |
| Last Update Date | 2022-12-22 |