| NPI | 1992456909 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MD LC13897) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MD LGP11608) |
| Enumeration Date | 2022-01-11 |
| Last Update Date | 2025-07-03 |