| NPI | 1871013201 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WI 6440-125) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WI 6440-125) |
| 106H00000X Marriage & Family Therapist (Licence: WI 6440-125) | |
| Enumeration Date | 2017-06-27 |
| Last Update Date | 2022-07-26 |