| NPI | 1316673486 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WI 10862-125) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WI 5305-226) |
| Enumeration Date | 2022-07-29 |
| Last Update Date | 2024-02-28 |