| NPI | 1568513570 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 3447) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 1897) |
| 101YM0800X Counselor, Mental Health (Licence: NE 3819) | |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2023-11-27 |