| NPI | 1245774538 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH27353) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MI 6401015460) |
| Enumeration Date | 2016-12-06 |
| Last Update Date | 2026-05-26 |