| NPI | 1306856885 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: AZ 19873) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: HI 713) |
| Enumeration Date | 2006-08-08 |
| Last Update Date | 2025-02-20 |