| NPI | 1790164200 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC 8986) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NC 8986) |
| Enumeration Date | 2015-05-29 |
| Last Update Date | 2026-07-30 |