| NPI | 1033455324 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WI 4828) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: WI 4828125) |
| Enumeration Date | 2012-12-14 |
| Last Update Date | 2024-11-18 |