| NPI | 1487151254 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 3127) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: IA 091142) |
| Enumeration Date | 2018-04-09 |
| Last Update Date | 2026-06-10 |