| NPI | 1770265589 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: KS 03860) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MT 72825) |
| Enumeration Date | 2023-08-01 |
| Last Update Date | 2026-04-15 |