| NPI | 1184912768 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: VT 068.0136922) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OR C7107) |
| Enumeration Date | 2011-07-15 |
| Last Update Date | 2026-08-11 |