| NPI | 1891485371 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: MO 2017013161) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MO 2017013161) |
| Enumeration Date | 2023-05-09 |
| Last Update Date | 2025-06-25 |