| NPI | 1639444508 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 1494) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 4392) |
| 101YM0800X Counselor, Mental Health (Licence: NE 9602) | |
| Enumeration Date | 2012-03-12 |
| Last Update Date | 2015-12-23 |