| NPI | 1326378993 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: SC 6533) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: GA 007911) |
| Enumeration Date | 2010-01-05 |
| Last Update Date | 2025-09-22 |