| NPI | 1548596224 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MD LC2358) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: DC PRC13844) |
| Enumeration Date | 2009-10-30 |
| Last Update Date | 2025-08-25 |