| NPI | 1841834264 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OK 11063) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 14678) |
| Enumeration Date | 2019-10-29 |
| Last Update Date | 2025-04-07 |