| NPI | 1528793668 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: DE PC-0011150) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: PA PC017991) |
| 101YP2500X Counselor Professional (Licence: DE PC-0011150) | |
| 101YP2500X Counselor Professional (Licence: PA PC017991) | |
| Enumeration Date | 2022-07-21 |
| Last Update Date | 2025-06-27 |