| NPI | 1073915310 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: SD LPC-MH30757) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: SD LPC834) |
| Enumeration Date | 2014-09-18 |
| Last Update Date | 2025-08-01 |