| NPI | 1790530459 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 6313) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 13554) |
| Enumeration Date | 2024-04-17 |
| Last Update Date | 2025-11-11 |