| NPI | 1629716113 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: AL C4110A) |
| Enumeration Date | 2022-05-24 |
| Last Update Date | 2025-05-14 |