| NPI | 1235005950 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MD LC17855) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MD LGP15061) |
| Enumeration Date | 2025-10-13 |
| Last Update Date | 2026-05-05 |