| NPI | 1801547062 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: SD LPC-MH30748) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: SD LPC20629) |
| Enumeration Date | 2022-01-10 |
| Last Update Date | 2025-03-18 |