| NPI | 1265280648 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC A22864) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TN 83-3040261) |
| Enumeration Date | 2024-05-09 |
| Last Update Date | 2026-05-13 |