| NPI | 1255321956 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CO LPC.0002296) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CO 2296) |
| Enumeration Date | 2005-10-24 |
| Last Update Date | 2023-02-06 |