| NPI | 1508407545 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: WI 7498) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: WI 7498-125) |
| Enumeration Date | 2019-10-01 |
| Last Update Date | 2024-07-05 |