| NPI | 1659920734 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC 14514) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NC 14514) |
| Enumeration Date | 2019-09-10 |
| Last Update Date | 2025-11-02 |