| NPI | 1730634841 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: GA 00973) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: AL 3583) |
| Enumeration Date | 2016-08-18 |
| Last Update Date | 2025-08-29 |