| NPI | 1447368188 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: SC 4993) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NC 7303) |
| 101YP2500X Counselor, Professional (Licence: SC 4993) | |
| Enumeration Date | 2006-08-25 |
| Last Update Date | 2026-05-12 |