| NPI | 1013375609 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: 101YM0800X) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CO LPC.0021466) |
| Enumeration Date | 2016-02-10 |
| Last Update Date | 2026-04-24 |