| NPI | 1457654774 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC 22348) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: SC 7100) |
| Enumeration Date | 2010-12-08 |
| Last Update Date | 2026-05-01 |