| NPI | 1760202477 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OR C8526) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: KY 279832) |
| 101Y00000X Counselor (Licence: KY 279832) | |
| Enumeration Date | 2024-10-16 |
| Last Update Date | 2026-07-17 |