| NPI | 1396490140 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC 18290) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: SC 10781) |
| Enumeration Date | 2022-02-18 |
| Last Update Date | 2026-05-28 |