| NPI | 1871936401 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WI 977-124) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WI 1445-226) |
| Enumeration Date | 2013-04-13 |
| Last Update Date | 2022-07-01 |