| NPI | 1821375411 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MN 4689) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: WI 4689-125) |
| Enumeration Date | 2011-11-09 |
| Last Update Date | 2024-02-13 |