| NPI | 1609928001 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: DE PC-0000401) | 
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: DE PC-0000401) | 
| 101YP2500X Counselor, Professional (Licence: PA PC012510) | |
| Enumeration Date | 2007-01-17 | 
| Last Update Date | 2023-01-26 |