| NPI | 1508359993 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WI 7220125) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WI 2737-226) |
| Enumeration Date | 2018-06-11 |
| Last Update Date | 2020-11-30 |