| NPI | 1407737224 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MH26449) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MO 2025031791) |
| Enumeration Date | 2025-09-09 |
| Last Update Date | 2025-10-24 |