| NPI | 1306131701 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TN 7591) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NY 000313-1) |
| Enumeration Date | 2011-06-14 |
| Last Update Date | 2025-03-13 |