| NPI | 1851036743 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: SC 9505) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: SC 9505) |
| Enumeration Date | 2022-05-04 |
| Last Update Date | 2025-06-13 |