| NPI | 1306570296 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 3819) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 13053) |
| Enumeration Date | 2022-07-15 |
| Last Update Date | 2025-03-25 |