| NPI | 1528128428 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC 5372) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NC 5372) |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2024-08-07 |