| NPI | 1356986962 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: MS 2973) |
| Enumeration Date | 2019-11-07 |
| Last Update Date | 2025-08-20 |