| NPI | 1063636918 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC 19357) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TN 3131) |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2025-02-25 |