| NPI | 1467857763 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 1504) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 4699) |
| 101Y00000X Counselor (Licence: NE 2272) | |
| Enumeration Date | 2014-10-29 |
| Last Update Date | 2022-12-09 |