| NPI | 1992482194 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC A19051) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CO LPCC.0020928) |
| Enumeration Date | 2023-06-29 |
| Last Update Date | 2026-06-17 |