| NPI | 1821575184 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: NE 2639) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 11347) |
| Enumeration Date | 2018-07-19 |
| Last Update Date | 2025-11-14 |