| NPI | 1326778838 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: MA 390200000X) |
| Enumeration Date | 2022-06-16 |
| Last Update Date | 2025-12-02 |