| NPI | 1073884144 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: FL MH18694) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: SC 8629) |
| Enumeration Date | 2012-01-22 |
| Last Update Date | 2025-06-11 |