| NPI | 1538877592 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC 18266) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: SC 10788) |
| Enumeration Date | 2022-11-09 |
| Last Update Date | 2025-03-14 |