| NPI | 1568955748 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WI 4997-125) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: 4997) |
| Enumeration Date | 2018-06-12 |
| Last Update Date | 2024-03-25 |