| NPI | 1083567887 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CO 0024439) |
| Additional Taxonomies | 251B00000X Case Management |
| Enumeration Date | 2026-02-19 |
| Last Update Date | 2026-02-24 |