| NPI | 1063107142 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: SC 10416) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: SC 8274) |
| Enumeration Date | 2023-04-05 |
| Last Update Date | 2025-06-24 |