| NPI | 1568986636 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WI 7424-125) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CO 0013919) |
| Enumeration Date | 2017-07-31 |
| Last Update Date | 2024-05-01 |