| NPI | 1538704556 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: AZ 19433) |
| Enumeration Date | 2019-11-13 |
| Last Update Date | 2026-01-30 |