| NPI | 1205292323 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CT 108470717) |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2016-01-05 |
| Last Update Date | 2025-05-30 |