| NPI | 1881469757 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WY PPC-1387) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 14182) |
| Enumeration Date | 2023-11-20 |
| Last Update Date | 2025-01-09 |