| NPI | 1356792964 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WI 6989-125) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WI 1113-226) |
| Enumeration Date | 2016-06-24 |
| Last Update Date | 2025-07-24 |