| NPI | 1548565187 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NM 0111721) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NM CCMH0159331) |
| Enumeration Date | 2011-01-12 |
| Last Update Date | 2026-02-03 |