| NPI | 1740711746 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 7423) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 12050) |
| Enumeration Date | 2017-03-22 |
| Last Update Date | 2021-03-12 |