| NPI | 1437568326 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MD LC7042) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MD LGP5664) |
| Enumeration Date | 2014-08-05 |
| Last Update Date | 2026-04-30 |