| NPI | 1528445822 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO 0014507) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CO 0105997) |
| Enumeration Date | 2015-05-06 |
| Last Update Date | 2025-05-09 |