| NPI | 1417593351 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MA 8914) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OR C7210) |
| Enumeration Date | 2019-11-26 |
| Last Update Date | 2026-01-07 |