| NPI | 1871144022 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: SC 7076) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: SC 7167) |
| Enumeration Date | 2019-09-27 |
| Last Update Date | 2025-04-14 |