| NPI | 1487247326 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: WI 8573-125) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: WI 4834226) |
| Enumeration Date | 2021-02-11 |
| Last Update Date | 2023-01-29 |