| NPI | 1508215484 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 10904) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE P-1412) |
| Enumeration Date | 2016-06-10 |
| Last Update Date | 2016-06-10 |