| NPI | 1528480142 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 3509) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IA 20014) |
| 101YM0800X Counselor, Mental Health (Licence: IA 0774701) | |
| Enumeration Date | 2014-01-16 |
| Last Update Date | 2026-04-07 |