| NPI | 1225956022 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CO 0020110) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MA 10000748) |
| Enumeration Date | 2026-07-08 |
| Last Update Date | 2026-07-08 |