| NPI | 1245119304 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OR R11990) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL IMH27657) |
| Enumeration Date | 2025-09-01 |
| Last Update Date | 2025-09-19 |