| NPI | 1407491749 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WI 8637-125) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WI 4504-226) |
| Enumeration Date | 2019-11-11 |
| Last Update Date | 2025-01-09 |