| NPI | 1457865123 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: WI 3717-226) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: WI 3717-226) |
| Enumeration Date | 2017-11-16 |
| Last Update Date | 2020-03-27 |