| NPI | 1235516089 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MO 20060005127) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: MO 2006005127) |
| Enumeration Date | 2015-04-30 |
| Last Update Date | 2026-02-24 |