| NPI | 1295622504 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: ID 7471262) |
| Additional Taxonomies | 225C00000X Rehabilitation Counselor (Licence: ID 745783) |
| Enumeration Date | 2025-06-19 |
| Last Update Date | 2025-06-19 |