| NPI | 1376372565 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CT 5720) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CT 8247) |
| Enumeration Date | 2024-07-29 |
| Last Update Date | 2025-10-09 |