| NPI | 1225248636 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: UT 10542096-6004) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MD 006142) |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2025-03-09 |