| NPI | 1851226617 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC A23074) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MD LGP17114) |
| Enumeration Date | 2026-06-15 |
| Last Update Date | 2026-09-02 |