| NPI | 1174403349 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC A21059) |
| Additional Taxonomies | 101YS0200X Counselor, School (Licence: NC 1284568) |
| Enumeration Date | 2025-09-06 |
| Last Update Date | 2025-09-27 |