| NPI | 1528065281 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 401) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NE 397) |
| Enumeration Date | 2005-07-07 |
| Last Update Date | 2025-09-11 |