| NPI | 1669349908 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 14169) |
| Additional Taxonomies | 103TS0200X Psychologist, School |
| Enumeration Date | 2025-10-21 |
| Last Update Date | 2026-05-21 |