| NPI | 1013495522 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OR c7119) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: SC 7295) |
| Enumeration Date | 2018-08-06 |
| Last Update Date | 2025-07-02 |