| NPI | 1033846019 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: SC 9576) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 23277) |
| Enumeration Date | 2022-08-01 |
| Last Update Date | 2026-08-18 |