| NPI | 1003597295 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 4307) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 3124) |
| Enumeration Date | 2023-07-31 |
| Last Update Date | 2025-12-02 |