| NPI | 1386366870 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: SC 12464) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH22053) |
| Enumeration Date | 2022-09-13 |
| Last Update Date | 2026-08-13 |