| NPI | 1467347625 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2025-06-10 |
| Last Update Date | 2026-05-24 |