| NPI | 1730666454 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OR R10738) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL IMH27173) |
| Enumeration Date | 2018-07-25 |
| Last Update Date | 2025-04-08 |