| NPI | 1629844584 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CO SWC.0000001687) |
| Enumeration Date | 2023-11-30 |
| Last Update Date | 2025-03-10 |