| NPI | 1104651991 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC 20969) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IN 39005083A) |
| Enumeration Date | 2024-09-03 |
| Last Update Date | 2025-06-24 |