| NPI | 1255888947 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WI 6259-125) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MN 01213) |
| Enumeration Date | 2016-09-09 |
| Last Update Date | 2021-11-01 |