| NPI | 1508176769 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: UT 127859346004) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NV CI0047) |
| 101YP2500X Counselor, Professional (Licence: CO 0022392) | |
| Enumeration Date | 2010-10-20 |
| Last Update Date | 2025-08-06 |