| NPI | 1649921362 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WI 10761) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: WI 5196226) |
| Enumeration Date | 2022-01-13 |
| Last Update Date | 2025-06-25 |