| NPI | 1740764372 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: NE 2626) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: NE 11653) |
| 101YM0800X Counselor Mental Health (Licence: NE 1912) | |
| Enumeration Date | 2018-09-19 |
| Last Update Date | 2022-09-15 |