| NPI | 1639368715 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: NC 7853) |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YM0800X Counselor Mental Health (Licence: NC 7853) | |
| Enumeration Date | 2007-10-15 |
| Last Update Date | 2024-08-22 |