| NPI | 1689959298 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AK PCOP303) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: AK 303) |
| Enumeration Date | 2011-10-14 |
| Last Update Date | 2025-04-14 |