| NPI | 1780495432 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: ID 2771081) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: AZ LAC-23285) |
| Enumeration Date | 2025-01-14 |
| Last Update Date | 2025-11-23 |