| NPI | 1578090692 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: SC 9409) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH17439) |
| Enumeration Date | 2017-05-19 |
| Last Update Date | 2025-08-02 |