| NPI | 1962191593 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MI 6401224653) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MI 6451022238) |
| Enumeration Date | 2023-05-01 |
| Last Update Date | 2025-04-24 |