| NPI | 1982242004 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: WI 8261-125) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: WI 4547-226) |
| Enumeration Date | 2019-12-19 |
| Last Update Date | 2024-07-23 |