| NPI | 1659950434 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OR C6647) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: UT 11303364-6009) |
| Enumeration Date | 2021-04-07 |
| Last Update Date | 2025-04-25 |