| NPI | 1063807865 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL 23959) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: IL 178006570) |
| Enumeration Date | 2015-03-30 |
| Last Update Date | 2025-04-22 |