| NPI | 1851810568 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WI 7507-125) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WI 3766-226) |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2017-09-13 |
| Last Update Date | 2022-03-08 |