| NPI | 1306576400 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OR C8601) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: VT 097.0136271) |
| Enumeration Date | 2022-06-13 |
| Last Update Date | 2025-01-22 |