| NPI | 1982829891 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: SC 4587) | 
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: SC 4587) | 
| Enumeration Date | 2007-04-16 | 
| Last Update Date | 2025-09-11 |