| NPI | 1457930968 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WI 8356-125) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MN 2065) |
| Enumeration Date | 2021-04-03 |
| Last Update Date | 2025-02-13 |