| NPI | 1679075220 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: VT 068.0136178) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: VT 097.0136167) |
| 101Y00000X Counselor (Licence: CA APCC7120) | |
| Enumeration Date | 2018-02-28 |
| Last Update Date | 2025-08-19 |