| NPI | 1750732624 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: NE 3768) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NE 12345) |
| Enumeration Date | 2016-06-22 |
| Last Update Date | 2024-08-07 |