| NPI | 1376960252 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MD LGP11737) |
| Additional Taxonomies | 222Q00000X Developmental Therapist |
| 101YP2500X Counselor, Professional | |
| Enumeration Date | 2014-03-28 |
| Last Update Date | 2026-01-26 |