| NPI | 1669924635 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: TN 4999) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: WA LH 60523779) |
| Enumeration Date | 2016-10-26 |
| Last Update Date | 2020-05-27 |