| NPI | 1154976223 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WI 4378-226) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IL 178.017169) |
| Enumeration Date | 2019-08-06 |
| Last Update Date | 2021-08-03 |