| NPI | 1740418102 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: WI 4228) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: WI 4228-125) |
| Enumeration Date | 2009-06-24 |
| Last Update Date | 2021-01-22 |