| NPI | 1922145838 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CO E.0003959-SUPV) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OH E.0003959) |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2025-08-22 |