| NPI | 1710979851 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 3548) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE PLMHP 7629) |
| Enumeration Date | 2005-08-16 |
| Last Update Date | 2023-07-19 |