| 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 | 2023-07-14 |