| NPI | 1952038531 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MD LC16463) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: MD ADT2576) |
| Enumeration Date | 2022-08-04 |
| Last Update Date | 2025-06-09 |