| NPI | 1164101218 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MD LC16566) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: MD LC16566) |
| Enumeration Date | 2023-07-17 |
| Last Update Date | 2025-06-09 |