| NPI | 1174365894 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WI 12471-125) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WI 7855-226) |
| Enumeration Date | 2024-06-12 |
| Last Update Date | 2026-06-03 |