| NPI | 1467008326 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 5869) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 11989) |
| Enumeration Date | 2019-08-15 |
| Last Update Date | 2024-01-17 |