| NPI | 1184784134 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NC 20011) |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2025-07-14 |