| NPI | 1336011402 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH26534) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NM CTB-2025-0726) |
| Enumeration Date | 2025-09-19 |
| Last Update Date | 2025-11-12 |