| NPI | 1649544594 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH27397) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IL 180.017929) |
| Enumeration Date | 2012-02-23 |
| Last Update Date | 2026-03-26 |