| NPI | 1487166807 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WI 7671-125) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WI 3668-226) |
| Enumeration Date | 2017-10-25 |
| Last Update Date | 2020-02-07 |