| NPI | 1558599902 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IL 180.004294) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IA 105216) |
| Enumeration Date | 2009-06-24 |
| Last Update Date | 2025-07-10 |