| NPI | 1649780206 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 10908) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE P-1530) |
| Enumeration Date | 2017-10-09 |
| Last Update Date | 2019-02-19 |