| NPI | 1215816749 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MD LGP14589) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MD LGP14589) |
| 101YS0200X Counselor, School | |
| Enumeration Date | 2025-08-28 |
| Last Update Date | 2025-08-28 |