| NPI | 1851524086 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MA 1004248) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CT 002248) |
| Enumeration Date | 2009-09-04 |
| Last Update Date | 2025-07-22 |