| NPI | 1265616767 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WI 3876-125) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CO 0019837) |
| Enumeration Date | 2007-12-20 |
| Last Update Date | 2025-06-27 |