| NPI | 1407556392 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC 17589) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: SC 10079) |
| 101YM0800X Counselor, Mental Health (Licence: NC 17589) | |
| Enumeration Date | 2023-03-08 |
| Last Update Date | 2026-05-27 |