| NPI | 1700583069 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IA 138690) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NE 13295) |
| Enumeration Date | 2023-02-07 |
| Last Update Date | 2026-06-17 |