| NPI | 1619015617 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OR C4714) |
| 101YP2500X Counselor, Professional (Licence: NV CPO258) | |
| Enumeration Date | 2007-02-02 |
| Last Update Date | 2026-07-31 |