| NPI | 1558705731 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WI 5635-125) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WI 1735-226) |
| Enumeration Date | 2013-04-18 |
| Last Update Date | 2015-05-13 |