| NPI | 1831961184 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: SC 11264) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: SC SC8277) |
| Enumeration Date | 2023-10-30 |
| Last Update Date | 2026-09-12 |