| NPI | 1386174647 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MS 3428) |
| Enumeration Date | 2017-06-19 |
| Last Update Date | 2026-07-08 |