| NPI | 1366011983 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MO 2021030516) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OR C8553) |
| 101YP2500X Counselor, Professional (Licence: MO 2021030516) | |
| Enumeration Date | 2021-06-18 |
| Last Update Date | 2025-06-05 |