| NPI | 1578013405 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: SC 9436) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NC 12551) |
| Enumeration Date | 2016-10-04 |
| Last Update Date | 2025-12-19 |