| NPI | 1225928880 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OR R11866) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL IMH26343) |
| Enumeration Date | 2025-07-07 |
| Last Update Date | 2025-09-26 |