| NPI | 1942983978 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MD LC16698) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MD LGP14151) |
| Enumeration Date | 2023-08-08 |
| Last Update Date | 2025-07-17 |