| NPI | 1891942132 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 8651) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE P-553) |
| Enumeration Date | 2008-08-19 |
| Last Update Date | 2023-12-26 |