| NPI | 1457872418 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WI 7975-125) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WI 7975-125) |
| Enumeration Date | 2017-06-29 |
| Last Update Date | 2024-09-11 |