| NPI | 1346626595 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC 12382) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NC 12382) |
| Enumeration Date | 2015-08-10 |
| Last Update Date | 2025-07-10 |