| NPI | 1154118628 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: KS 2521) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OR C4618) |
| Enumeration Date | 2025-04-21 |
| Last Update Date | 2025-04-21 |