| NPI | 1639499569 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 1416) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 3973) |
| Enumeration Date | 2010-06-02 |
| Last Update Date | 2015-07-01 |