| NPI | 1407732589 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TN 6670) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: SC 8590) |
| Enumeration Date | 2025-08-13 |
| Last Update Date | 2025-08-13 |