| NPI | 1073122636 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: NC 13896) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: NC A13896) |
| Enumeration Date | 2020-07-29 |
| Last Update Date | 2025-07-08 |