| NPI | 1295564508 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC A20238) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NC A20238) |
| 101YS0200X Counselor, School (Licence: NC 1254996) | |
| Enumeration Date | 2024-07-26 |
| Last Update Date | 2025-01-24 |