| NPI | 1285149393 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: MO 2005039584) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: MO 2005039584) |
| Enumeration Date | 2017-12-12 |
| Last Update Date | 2025-03-26 |