| NPI | 1689380610 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC 18411) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH27708) |
| Enumeration Date | 2023-01-24 |
| Last Update Date | 2026-05-18 |