| NPI | 1245986892 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: WI 10636-125) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 101YP2500X Counselor Professional (Licence: CO 0020234) | |
| Enumeration Date | 2022-02-22 |
| Last Update Date | 2024-01-16 |