| NPI | 1003709585 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: PA MF001397) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: VA 0717002415) |
| 101YM0800X Counselor, Mental Health (Licence: DE FT-0010164) | |
| Enumeration Date | 2025-06-02 |
| Last Update Date | 2025-06-02 |