| NPI | 1922549567 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WI 7632-125) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WI 7632-125) |
| 376K00000X Nurse's Aide (Licence: WI NA131596) | |
| Enumeration Date | 2017-03-15 |
| Last Update Date | 2020-04-09 |