| NPI | 1962129429 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: ID 8331394) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: ID LPC-9016) |
| 101YP2500X Counselor, Professional (Licence: ID LPC-9016) | |
| Enumeration Date | 2022-10-25 |
| Last Update Date | 2025-04-01 |