| NPI | 1194249599 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WI 7319-125) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WI 3601226) |
| Enumeration Date | 2017-07-28 |
| Last Update Date | 2023-05-30 |