| NPI | 1568846178 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH26255) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CO LPC.0019631) |
| Enumeration Date | 2015-07-13 |
| Last Update Date | 2025-08-25 |