| NPI | 1750803920 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: WI 7137-125) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: WI 1837-226) |
| Enumeration Date | 2017-07-10 |
| Last Update Date | 2025-08-26 |