| NPI | 1124562723 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IA 106439) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 180-010526) |
| Enumeration Date | 2016-12-15 |
| Last Update Date | 2025-11-26 |