| NPI | 1972316313 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: SC 10336) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NC A20913) |
| Enumeration Date | 2025-01-29 |
| Last Update Date | 2025-11-17 |