| NPI | 1083589352 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC A22121) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: SC 10685) |
| Enumeration Date | 2025-10-07 |
| Last Update Date | 2025-10-07 |