| NPI | 1861973083 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: WI 7602125) |
| Enumeration Date | 2018-08-25 |
| Last Update Date | 2019-12-12 |