| NPI | 1700360443 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 3527) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NE 13566) |
| 101Y00000X Counselor (Licence: NE 11643) | |
| 101Y00000X Counselor (Licence: NE 3527) | |
| Enumeration Date | 2018-09-19 |
| Last Update Date | 2023-12-21 |