| NPI | 1124766548 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WI 11738125) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WI 5127-226) |
| Enumeration Date | 2022-05-25 |
| Last Update Date | 2025-04-21 |