| NPI | 1124686860 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: SC 9744) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: SD LPC20673) |
| Enumeration Date | 2019-05-29 |
| Last Update Date | 2025-07-14 |