| NPI | 1629410329 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 1730) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 10019) |
| Enumeration Date | 2013-07-23 |
| Last Update Date | 2018-11-15 |