| NPI | 1366114670 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MD LC14241) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MD LC14241) |
| Enumeration Date | 2021-10-05 |
| Last Update Date | 2025-02-28 |