| NPI | 1235955535 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: VA 0704016373) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WI 8809-226) |
| Enumeration Date | 2024-12-02 |
| Last Update Date | 2026-05-26 |