| NPI | 1801426432 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WI 7838125) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WI 3531226) |
| Enumeration Date | 2020-01-23 |
| Last Update Date | 2020-06-09 |