| NPI | 1497989206 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WI 301-266) |
| Additional Taxonomies | 225C00000X Rehabilitation Counselor (Licence: WI 94489) |
| Enumeration Date | 2009-05-07 |
| Last Update Date | 2022-07-21 |