| NPI | 1639622061 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 2903) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 4808) |
| Enumeration Date | 2016-08-02 |
| Last Update Date | 2022-12-31 |