| NPI | 1952995862 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MS 3028) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: ID LPC-7879) |
| Enumeration Date | 2021-02-22 |
| Last Update Date | 2026-06-03 |