| NPI | 1114596509 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YP2500X Counselor, Professional (Licence: OR C8269) | |
| Enumeration Date | 2021-06-21 |
| Last Update Date | 2026-07-07 |