| NPI | 1740576719 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 522) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NE 522) |
| 101YM0800X Counselor, Mental Health (Licence: NE 3459) | |
| 101YM0800X Counselor, Mental Health (Licence: NE 1742) | |
| Enumeration Date | 2011-06-28 |
| Last Update Date | 2016-03-14 |