| NPI | 1912260738 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: AR P2110010) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: NE 4476) |
| 101YM0800X Counselor Mental Health (Licence: NE 2040) | |
| 101YP2500X Counselor Professional (Licence: NE 2179) | |
| Enumeration Date | 2012-06-18 |
| Last Update Date | 2022-01-26 |