| NPI | 1316211998 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WI 4753-125) |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2012-02-29 |
| Last Update Date | 2024-06-07 |