| NPI | 1194680306 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: VT 097.0136150) |
| Additional Taxonomies | 225C00000X Rehabilitation Counselor (Licence: 645264) |
| Enumeration Date | 2025-12-19 |
| Last Update Date | 2025-12-19 |