| NPI | 1891472338 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC 19350) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NM CTB-2025-0149) |
| Enumeration Date | 2023-06-28 |
| Last Update Date | 2025-04-07 |