| NPI | 1336667799 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WI 7776-125) |
| Enumeration Date | 2017-09-06 |
| Last Update Date | 2023-06-06 |