| NPI | 1710234695 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC 8966) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NC A8966) |
| Enumeration Date | 2012-08-09 |
| Last Update Date | 2025-09-02 |