| NPI | 1144366410 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC 13985) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: PA PC003660) |
| 101YP2500X Counselor, Professional (Licence: NC 13985) | |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2025-01-16 |