| NPI | 1740504802 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 1664) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 9104) |
| Enumeration Date | 2010-03-18 |
| Last Update Date | 2024-02-09 |