| NPI | 1760359848 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OR R12384) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OR 25-QMHP-R-3985) |
| Enumeration Date | 2025-10-22 |
| Last Update Date | 2025-12-10 |