| NPI | 1497477574 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WI 7113226) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: WI 7113226) |
| Enumeration Date | 2022-09-14 |
| Last Update Date | 2022-09-15 |