| NPI | 1295605368 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC A21715) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NC 666202) |
| Enumeration Date | 2025-11-05 |
| Last Update Date | 2025-11-13 |