| NPI | 1942616891 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: NE 4446) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: NE 2164) |
| Enumeration Date | 2014-07-10 |
| Last Update Date | 2014-07-10 |