| NPI | 1548896004 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WI 8347) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WI 8347125) |
| 101YM0800X Counselor, Mental Health (Licence: WI 4601226) | |
| Enumeration Date | 2020-03-17 |
| Last Update Date | 2023-09-29 |