| NPI | 1932492436 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: NE 1673) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NE 1144) |
| 101YM0800X Counselor Mental Health (Licence: NE 4486) | |
| Enumeration Date | 2011-05-17 |
| Last Update Date | 2019-12-10 |