| NPI | 1861051039 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: NE 13627) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: NE 7924) |
| Enumeration Date | 2019-06-11 |
| Last Update Date | 2023-10-09 |