| NPI | 1669102752 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: NE 12990) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NE 12990) |
| Enumeration Date | 2022-06-13 |
| Last Update Date | 2022-06-13 |