| NPI | 1730554239 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: LA 4896) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: LA 4896) |
| 101YM0800X Counselor Mental Health (Licence: LA 4896) | |
| Enumeration Date | 2015-12-09 |
| Last Update Date | 2025-07-12 |