| NPI | 1457191116 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WI 11295-125) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WI 7229-226) |
| 101YP2500X Counselor, Professional (Licence: MI 6401224968) | |
| Enumeration Date | 2024-05-30 |
| Last Update Date | 2025-11-28 |