| NPI | 1598065609 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 1362) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 1890) |
| 101YM0800X Counselor, Mental Health (Licence: NE 3802) | |
| Enumeration Date | 2010-10-25 |
| Last Update Date | 2021-01-19 |