| NPI | 1902495310 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CT 007315) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH27661) |
| Enumeration Date | 2021-01-12 |
| Last Update Date | 2026-05-15 |