| NPI | 1942994116 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: ID 8331599) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OR C8208) |
| 101YM0800X Counselor, Mental Health (Licence: OR C8208) | |
| 101YM0800X Counselor, Mental Health (Licence: ID 8331599) | |
| Enumeration Date | 2023-06-08 |
| Last Update Date | 2026-07-26 |