| NPI | 1659965093 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CO 0019915) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CO 0018158) |
| Enumeration Date | 2021-02-25 |
| Last Update Date | 2025-02-24 |