| NPI | 1487028098 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC S11942) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NC A11942) |
| Enumeration Date | 2015-11-19 |
| Last Update Date | 2026-05-26 |