| NPI | 1164870226 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: LA 010313613) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: LA PLC8564) |
| Enumeration Date | 2016-05-31 |
| Last Update Date | 2025-04-09 |