| NPI | 1518356310 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MD LC7362) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MD ATG172) |
| Enumeration Date | 2015-01-16 |
| Last Update Date | 2026-08-13 |