| NPI | 1538516919 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 1728) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 4932) |
| 101YP2500X Counselor, Professional (Licence: NE 2356) | |
| Enumeration Date | 2016-05-16 |
| Last Update Date | 2017-03-16 |