| NPI | 1770659815 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WI 2321-125) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 101YM0800X Counselor, Mental Health (Licence: WI 2321-125) | |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2025-02-12 |