| NPI | 1376971226 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WI 5662-125) |
| Enumeration Date | 2013-10-30 |
| Last Update Date | 2025-03-20 |