| NPI | 1275320673 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: SD 6781) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MN 26730) |
| Enumeration Date | 2025-04-21 |
| Last Update Date | 2025-04-21 |