| NPI | 1790602332 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MT BBH-PCLC-LIC-89083) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: MT BBH-PCLC-LIC-89083) |
| 101YM0800X Counselor, Mental Health (Licence: MT BBH-PCLC-LIC-89083) | |
| Enumeration Date | 2026-07-03 |
| Last Update Date | 2026-07-04 |