| NPI | 1508925579 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: NE 1445) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: NE 1613) |
| 101YM0800X Counselor Mental Health (Licence: NE 3106) | |
| Enumeration Date | 2006-12-06 |
| Last Update Date | 2018-03-17 |