| NPI | 1083254338 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: SC 9092) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NC 18716) |
| Enumeration Date | 2020-01-14 |
| Last Update Date | 2025-05-29 |