| NPI | 1669957429 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WI 6751) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: WI 6751-125) |
| Enumeration Date | 2018-09-27 |
| Last Update Date | 2025-10-14 |