| NPI | 1629787437 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: AZ 23724) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: FL 23351) |
| Enumeration Date | 2022-11-21 |
| Last Update Date | 2025-07-29 |