| NPI | 1417539990 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: LA 8919) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH24672) |
| Enumeration Date | 2021-04-24 |
| Last Update Date | 2025-06-16 |