| NPI | 1003341454 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC 12930) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NC A12930) |
| Enumeration Date | 2017-04-24 |
| Last Update Date | 2026-05-04 |