| NPI | 1104066893 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WI 4177-125) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: WI 4177-125) |
| Enumeration Date | 2009-02-20 |
| Last Update Date | 2023-12-04 |