| NPI | 1457799538 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: NE 4679) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: NM CCMH0222961) |
| Enumeration Date | 2013-06-11 |
| Last Update Date | 2024-02-21 |