| NPI | 1700019692 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IA 001216) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IA 1216) |
| Enumeration Date | 2009-08-26 |
| Last Update Date | 2025-02-27 |