| NPI | 1821457193 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH5969) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: GA 008676) |
| Enumeration Date | 2016-02-16 |
| Last Update Date | 2026-04-16 |