| NPI | 1770821944 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 2876) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH21281) |
| Enumeration Date | 2013-01-23 |
| Last Update Date | 2025-07-16 |