| NPI | 1295619716 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IN 39003983A) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IL 180.011330) |
| 101YM0800X Counselor, Mental Health (Licence: MI 6401225425) | |
| 101YM0800X Counselor, Mental Health (Licence: OH E.2404747) | |
| Enumeration Date | 2025-08-05 |
| Last Update Date | 2025-10-22 |