| NPI | 1043197510 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CO 0021534) |
| Additional Taxonomies | 101YS0200X Counselor, School (Licence: CO 258168) |
| Enumeration Date | 2025-08-18 |
| Last Update Date | 2025-08-18 |