| NPI | 1992427744 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WI 11407-125)  | 
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WI 7365-226)  | 
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2022-09-16 | 
| Last Update Date | 2025-06-13 |