| NPI | 1629705496 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC 17641) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NC A17641) |
| Enumeration Date | 2022-08-02 |
| Last Update Date | 2025-10-06 |