| NPI | 1598379935 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WI 8128) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WI 4310) |
| Enumeration Date | 2020-09-02 |
| Last Update Date | 2026-02-12 |