| NPI | 1316661226 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 4013) | 
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 3037) | 
| Enumeration Date | 2022-10-04 | 
| Last Update Date | 2025-04-17 |