| NPI | 1760345003 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC A22676) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NC A22676) |
| 101YP2500X Counselor, Professional (Licence: NC A22676) | |
| Enumeration Date | 2025-12-04 |
| Last Update Date | 2026-03-04 |