| NPI | 1588897128 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: WI 5423-125) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: IA 001124) |
| Enumeration Date | 2009-08-31 |
| Last Update Date | 2024-08-23 |