| NPI | 1952941478 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 2719) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 12080) |
| Enumeration Date | 2020-01-13 |
| Last Update Date | 2021-06-25 |