| NPI | 1942044243 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: SD MH30946) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MN cc05163) |
| 101YM0800X Counselor, Mental Health (Licence: IA 132941) | |
| Enumeration Date | 2024-06-21 |
| Last Update Date | 2025-09-18 |