| NPI | 1275099889 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WI 8088-125) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WI 4272-226) |
| Enumeration Date | 2019-02-19 |
| Last Update Date | 2025-09-29 |