| NPI | 1124045570 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WI 3265125) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: WI 3265125) |
| Enumeration Date | 2006-07-15 |
| Last Update Date | 2022-05-27 |