| NPI | 1598288169 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: ID 6587) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: ID LPC-6587) |
| Enumeration Date | 2017-07-25 |
| Last Update Date | 2025-10-06 |