| NPI | 1578735239 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: NE 423) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: NE 2784) |
| 101YP2500X Counselor Professional (Licence: NE 1467) | |
| Enumeration Date | 2008-04-01 |
| Last Update Date | 2024-07-09 |