| NPI | 1144837675 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MS 2901) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: MS 2901) |
| Enumeration Date | 2020-09-29 |
| Last Update Date | 2025-06-12 |