| NPI | 1184194250 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: SC 7168) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: SC 6630) |
| Enumeration Date | 2018-11-30 |
| Last Update Date | 2025-09-02 |