| NPI | 1598157299 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OR 25-QMHP-R-3746) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: AZ LISAC 11623) |
| Enumeration Date | 2015-03-04 |
| Last Update Date | 2025-07-16 |