| NPI | 1750802450 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: SD LPC-MH20378) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: SD LPC-20304) |
| Enumeration Date | 2017-07-03 |
| Last Update Date | 2025-06-23 |