| NPI | 1568883478 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 2176) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: 10956) |
| Enumeration Date | 2013-12-18 |
| Last Update Date | 2019-05-13 |