| NPI | 1104700624 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: AL LPC05697) |
| Additional Taxonomies | 225C00000X Rehabilitation Counselor |
| Enumeration Date | 2025-08-05 |
| Last Update Date | 2025-08-05 |