| NPI | 1063275873 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MD LC14984) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: DE PC-0011561) |
| Enumeration Date | 2024-02-05 |
| Last Update Date | 2025-08-28 |