| NPI | 1689456014 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WI 8256-226) |
| Additional Taxonomies | 103TS0200X Psychologist, School (Licence: WI 3001025672) |
| Enumeration Date | 2023-10-19 |
| Last Update Date | 2025-01-08 |