| NPI | 1952068249 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IL 180.018401) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IA 139980) |
| Enumeration Date | 2021-11-21 |
| Last Update Date | 2026-07-17 |