| NPI | 1396440624 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: SC 8349) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NC 18358) |
| Enumeration Date | 2023-04-04 |
| Last Update Date | 2025-10-08 |