| NPI | 1881462828 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: WI 7394-226) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WI 11312-125) |
| Enumeration Date | 2023-12-19 |
| Last Update Date | 2024-12-12 |