| NPI | 1992558787 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IA 124171) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IA 124171) |
| Enumeration Date | 2024-04-10 |
| Last Update Date | 2025-12-03 |