| NPI | 1295552552 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: OR C9698) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH24310) |
| Enumeration Date | 2024-09-26 |
| Last Update Date | 2025-05-16 |