| NPI | 1295553774 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CO LPC.0023849) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CO LPC.0023849) |
| Enumeration Date | 2024-10-02 |
| Last Update Date | 2026-05-18 |