| NPI | 1184786675 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: SD LPC-MH2170) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 1743) |
| Enumeration Date | 2006-12-14 |
| Last Update Date | 2025-04-23 |