| NPI | 1457597288 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NH 1128) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: ME CC6673) |
| Enumeration Date | 2008-12-29 |
| Last Update Date | 2023-12-21 |