| NPI | 1982170973 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WI 7271-125) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WI 4130-226) |
| Enumeration Date | 2018-10-17 |
| Last Update Date | 2019-03-07 |