| NPI | 1144582198 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MA 9140) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: MA 9140) |
| Enumeration Date | 2012-06-14 |
| Last Update Date | 2025-05-14 |