| NPI | 1447549142 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: FL MH7303) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: GA LPC003178) |
| Enumeration Date | 2011-04-04 |
| Last Update Date | 2025-05-30 |