| NPI | 1649236597 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: NE 2244) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: NE 1252) |
| Enumeration Date | 2006-04-20 |
| Last Update Date | 2024-02-19 |