| NPI | 1215655410 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: SC 9950) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: SC 8065) |
| Enumeration Date | 2022-08-15 |
| Last Update Date | 2025-09-09 |