| NPI | 1912550344 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: WI 8773-125) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: MI 6401017448) |
| Enumeration Date | 2019-07-24 |
| Last Update Date | 2024-09-17 |