| NPI | 1841000551 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MD LC16912) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MD LGP12481) |
| Enumeration Date | 2025-01-14 |
| Last Update Date | 2025-08-27 |