| NPI | 1659541852 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 1269) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 8406) |
| Enumeration Date | 2008-03-04 |
| Last Update Date | 2021-06-29 |