| NPI | 1053091496 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WI 12317125) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WI 7424226) |
| Enumeration Date | 2023-07-20 |
| Last Update Date | 2026-01-23 |