| NPI | 1194813386 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: NM 0179041) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CA 39476) |
| 101YM0800X Counselor Mental Health (Licence: NM 0111471) | |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2025-08-31 |