| NPI | 1215280086 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: NC A9266) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OR C8651) |
| 101YM0800X Counselor, Mental Health (Licence: MD LC14899) | |
| Enumeration Date | 2012-10-18 |
| Last Update Date | 2026-07-24 |