| NPI | 1841878295 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: WI 8503-125) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WI 8503-125) |
| Enumeration Date | 2021-03-29 |
| Last Update Date | 2025-06-25 |