| NPI | 1023862646 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: IA 132706) |
| Additional Taxonomies | 101YP2500X Counselor Professional |
| Enumeration Date | 2024-04-11 |
| Last Update Date | 2025-07-08 |