| NPI | 1588620215 |
|---|---|
| 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 1737) |
| Enumeration Date | 2006-04-21 |
| Last Update Date | 2016-08-25 |