| NPI | 1487053088 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 4999) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 10334) |
| Enumeration Date | 2014-08-19 |
| Last Update Date | 2018-04-04 |