| NPI | 1275312555 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OR R9132) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH26334) |
| Enumeration Date | 2023-09-26 |
| Last Update Date | 2026-03-23 |