| NPI | 1942661442 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 1973) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NH 1161) |
| Enumeration Date | 2016-03-10 |
| Last Update Date | 2018-10-16 |