| NPI | 1659188928 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: IA 132931) |
| Additional Taxonomies | 101YP2500X Counselor Professional |
| Enumeration Date | 2024-12-11 |
| Last Update Date | 2025-08-07 |