| NPI | 1245403096 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CO 4647) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: WI 103082) |
| Enumeration Date | 2008-04-11 |
| Last Update Date | 2025-09-25 |