| NPI | 1487852406 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WI 3670-125) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: WI 3670-125) |
| Enumeration Date | 2007-07-11 |
| Last Update Date | 2024-03-14 |