| NPI | 1841641586 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: WI 5984-125) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: WI 5984-125) |
| Enumeration Date | 2016-06-23 |
| Last Update Date | 2024-01-10 |