| NPI | 1174147664 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: WI 10464) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: WI 4672226) |
| Enumeration Date | 2020-06-01 |
| Last Update Date | 2024-04-22 |