| NPI | 1295132587 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC 11032) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NC A11032) |
| Enumeration Date | 2014-12-02 |
| Last Update Date | 2025-03-21 |