| NPI | 1720307580 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 3219) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 4029) |
| Enumeration Date | 2010-05-19 |
| Last Update Date | 2023-02-24 |