| NPI | 1104367903 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL 26193) |
| Enumeration Date | 2017-03-13 |
| Last Update Date | 2025-10-07 |