| NPI | 1518432616 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WI 10200) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WI 10200125) |
| Enumeration Date | 2018-10-04 |
| Last Update Date | 2025-09-17 |