| NPI | 1093249492 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: HI LMHC1025) |
| Additional Taxonomies | 103TH0100X Psychologist, Health Service |
| Enumeration Date | 2017-04-12 |
| Last Update Date | 2024-04-10 |