| NPI | 1083252506 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WI 10220-125) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WI 4894-226) |
| Enumeration Date | 2019-12-16 |
| Last Update Date | 2023-01-05 |