| NPI | 1174345854 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MD LC15341) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: PA PC019497) |
| 101YP2500X Counselor, Professional (Licence: SC 9722) | |
| 101YM0800X Counselor, Mental Health (Licence: DC PRC200012642) | |
| Enumeration Date | 2024-10-24 |
| Last Update Date | 2026-07-10 |