| NPI | 1962176461 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: professionallicense) |
| 225400000X Rehabilitation Practitioner | |
| Enumeration Date | 2021-08-06 |
| Last Update Date | 2026-07-17 |