| NPI | 1487925103 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: GA MFT002232) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NC 1420) |
| Enumeration Date | 2012-01-26 |
| Last Update Date | 2025-10-07 |