| NPI | 1609466523 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WI 4858-226) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: WI 10066-125) |
| Enumeration Date | 2021-01-25 |
| Last Update Date | 2023-08-03 |