| NPI | 1477715936 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: SC 7817) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: PA PC005693) |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2008-06-26 |
| Last Update Date | 2025-03-04 |