| NPI | 1790405488 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: NC 17938) |
| Enumeration Date | 2022-09-01 |
| Last Update Date | 2025-03-26 |