| NPI | 1043274186 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC 7880) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH8094) |
| Enumeration Date | 2006-04-14 |
| Last Update Date | 2024-03-07 |