| NPI | 1023818739 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OR R11298) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL 25253) |
| Enumeration Date | 2025-03-13 |
| Last Update Date | 2025-07-22 |