| NPI | 1831938554 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 13120) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: NE 13120) |
| Enumeration Date | 2024-05-22 |
| Last Update Date | 2024-07-15 |