| NPI | 1932272325 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC 5253) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: UT 14268927-6004) |
| Enumeration Date | 2006-11-16 |
| Last Update Date | 2026-05-20 |