| NPI | 1174010078 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WI 3877) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WI 3877-226) |
| Enumeration Date | 2018-04-16 |
| Last Update Date | 2020-02-05 |