| NPI | 1568077105 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 4493) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 14299) |
| Enumeration Date | 2020-09-10 |
| Last Update Date | 2026-03-06 |