| NPI | 1942047311 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WI 12409-125) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: SC 12196) |
| Enumeration Date | 2024-07-11 |
| Last Update Date | 2026-07-01 |