| NPI | 1619213907 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: WI 5418-125) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: WI 5418) |
| Enumeration Date | 2012-12-14 |
| Last Update Date | 2023-12-15 |