| NPI | 1497420228 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MS 2875) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MO 2025045502) |
| Enumeration Date | 2021-08-13 |
| Last Update Date | 2025-11-05 |