| NPI | 1063261113 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 225XM0800X Occupational Therapist, Mental Health (Licence: VA 0119005979) |
| Enumeration Date | 2024-05-13 |
| Last Update Date | 2025-07-26 |