| NPI | 1134739550 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH25935) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NC 15921) |
| Enumeration Date | 2020-08-01 |
| Last Update Date | 2025-09-17 |