| 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 | 2025-10-21 |