| NPI | 1629117593 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: NC 4363) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NC 4363) |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2025-02-13 |