| NPI | 1225848773 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: MO 2022046079) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: KS 04197) |
| Enumeration Date | 2025-01-08 |
| Last Update Date | 2025-01-13 |