| NPI | 1811461254 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 11751) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 7335) |
| Enumeration Date | 2019-01-18 |
| Last Update Date | 2019-01-18 |