| NPI | 1043176845 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: ND 1517-12-15-25A) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: AZ LAC-23781) |
| Enumeration Date | 2025-12-25 |
| Last Update Date | 2025-12-25 |