| NPI | 1629698378 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: WI 8409-125) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: WI 4432-226) |
| 101YP2500X Counselor Professional (Licence: WI 4432-226) | |
| Enumeration Date | 2020-04-23 |
| Last Update Date | 2022-01-11 |