| NPI | 1447590492 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MD LC13150) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NM 0169411) |
| Enumeration Date | 2013-02-27 |
| Last Update Date | 2025-01-31 |