| NPI | 1932217015 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WI 7401-226) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: WI 2811) |
| Enumeration Date | 2006-08-28 |
| Last Update Date | 2023-06-08 |