| NPI | 1083197735 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: OR C9315) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MA 12476) |
| Enumeration Date | 2018-09-10 |
| Last Update Date | 2025-02-06 |