| NPI | 1205069499 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WI 8076-125) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IA 076646) |
| Enumeration Date | 2009-09-03 |
| Last Update Date | 2021-10-19 |