| NPI | 1528580842 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OR C6018) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OR C6018) |
| Enumeration Date | 2017-07-07 |
| Last Update Date | 2025-10-21 |