| NPI | 1629118823 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 64) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 1036) |
| 101YM0800X Counselor, Mental Health (Licence: NE 2392) | |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2023-09-14 |