| NPI | 1922791474 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WI 7397-226) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: WI 11656-125) |
| Enumeration Date | 2023-05-31 |
| Last Update Date | 2025-05-02 |