| NPI | 1710257381 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WI 5080-125) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: WI 1074226) |
| Enumeration Date | 2012-01-12 |
| Last Update Date | 2026-04-02 |