| NPI | 1639958994 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YS0200X Counselor School (Licence: WI 7628-226) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: WI 7628-226) |
| Enumeration Date | 2023-09-26 |
| Last Update Date | 2023-09-26 |