| NPI | 1215507454 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 6163) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH26285) |
| Enumeration Date | 2021-06-29 |
| Last Update Date | 2026-08-28 |