| NPI | 1821481565 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: AK PCOP893) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NC 20023) |
| Enumeration Date | 2015-03-05 |
| Last Update Date | 2025-06-17 |