| NPI | 1528447315 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 5902) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NE 11823) |
| Enumeration Date | 2015-05-26 |
| Last Update Date | 2023-04-11 |