| NPI | 1710048558 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: WI 868) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WI 4158-123) |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2023-08-31 |