| NPI | 1649796673 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: NE 5229) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: NE 10968) |
| Enumeration Date | 2017-08-22 |
| Last Update Date | 2019-03-13 |