| NPI | 1972243194 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: KY 294317) |
| Enumeration Date | 2022-03-29 |
| Last Update Date | 2025-05-26 |