| NPI | 1558661900 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 2655) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NE 9265) |
| 101YM0800X Counselor, Mental Health (Licence: NE 683) | |
| 101YP2500X Counselor, Professional (Licence: NE 9265) | |
| Enumeration Date | 2010-11-01 |
| Last Update Date | 2022-02-07 |