| NPI | 1679115927 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WI 8137-125) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WI 4480-226) |
| Enumeration Date | 2019-10-08 |
| Last Update Date | 2023-11-02 |