| NPI | 1659949444 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OR M17499) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: ID LMSW-36818) |
| Enumeration Date | 2021-06-16 |
| Last Update Date | 2025-12-14 |