| NPI | 1760659270 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WI 12-037) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: WI 4382-125) |
| Enumeration Date | 2008-05-14 |
| Last Update Date | 2020-04-22 |