| NPI | 1164012589 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WI 10322-125) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WI 4850226) |
| 101YM0800X Counselor, Mental Health (Licence: WI 10322-125) | |
| 101YP2500X Counselor, Professional | |
| Enumeration Date | 2021-01-20 |
| Last Update Date | 2025-04-03 |