| NPI | 1821141730 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: WI 2978-125) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: WI 2978-125) |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2024-09-10 |