| NPI | 1578819082 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: RI 00538) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NV 5582) |
| 101YM0800X Counselor, Mental Health (Licence: CA 20171) | |
| Enumeration Date | 2012-08-02 |
| Last Update Date | 2026-08-14 |