| NPI | 1467631606 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 247200000X Technician, Other |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 374700000X Technician (Licence: MI 247200000) | |
| Enumeration Date | 2007-10-24 |
| Last Update Date | 2025-06-25 |