| NPI | 1689793499 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 1036) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 8139) |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2019-03-31 |