| NPI | 1336010453 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CO LPCC.0020987) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CO 0020987) |
| Enumeration Date | 2025-09-12 |
| Last Update Date | 2025-09-12 |