| NPI | 1972448892 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MN 2401) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WI 12454-125) |
| Enumeration Date | 2026-04-20 |
| Last Update Date | 2026-04-20 |