| NPI | 1366713968 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC 18762) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MO 2012026813) |
| 101YM0800X Counselor, Mental Health | |
| 101YP2500X Counselor, Professional (Licence: KS 2766) | |
| Enumeration Date | 2012-01-13 |
| Last Update Date | 2025-05-12 |