| NPI | 1174487797 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC A21722) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: SC 10404) |
| Enumeration Date | 2025-12-10 |
| Last Update Date | 2026-02-10 |