| NPI | 1720758493 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC 20460) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: SC 9144) |
| Enumeration Date | 2021-09-15 |
| Last Update Date | 2025-07-18 |