| NPI | 1003688201 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MO 2025047617) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MO 2023015703) |
| Enumeration Date | 2023-10-23 |
| Last Update Date | 2025-11-13 |