| NPI | 1194377986 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NH 2256) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MA 10958) |
| Enumeration Date | 2019-07-11 |
| Last Update Date | 2026-07-05 |