| NPI | 1043990112 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 4151) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 13446) |
| Enumeration Date | 2023-07-24 |
| Last Update Date | 2025-11-21 |