| NPI | 1437605714 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WI 6197-125) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IN 88000128A) |
| 101YM0800X Counselor, Mental Health (Licence: WI 3157-226) | |
| Enumeration Date | 2016-08-28 |
| Last Update Date | 2019-09-18 |