| NPI | 1902119266 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CO LPC.0012887) |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2010-07-15 |
| Last Update Date | 2025-09-15 |