| NPI | 1770037020 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH27645) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL IMH25114) |
| 101YM0800X Counselor, Mental Health | |
| 101YS0200X Counselor, School | |
| Enumeration Date | 2016-08-03 |
| Last Update Date | 2026-05-03 |