| NPI | 1962694497 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 2228) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NE 2533) |
| Enumeration Date | 2007-08-17 |
| Last Update Date | 2021-06-13 |