| NPI | 1982143178 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 5406) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 11051) |
| Enumeration Date | 2017-02-21 |
| Last Update Date | 2020-03-13 |