| NPI | 1447664891 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: OR C5126) |
| Enumeration Date | 2014-06-13 |
| Last Update Date | 2025-08-18 |