| NPI | 1730467747 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 4633) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 9446) |
| Enumeration Date | 2011-07-25 |
| Last Update Date | 2015-09-28 |