| NPI | 1649718917 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: WI 7927-125) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: WI 3399-226) |
| Enumeration Date | 2017-02-07 |
| Last Update Date | 2020-08-25 |