| NPI | 1669043204 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: WI 11645-125) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WI 11645-125) |
| Enumeration Date | 2021-07-06 |
| Last Update Date | 2025-04-08 |