| NPI | 1306349295 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: KY 262715) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IN 39003600A) |
| Enumeration Date | 2018-03-16 |
| Last Update Date | 2026-05-18 |