| NPI | 1336784008 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OR C5912) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: HI MHC593) |
| Enumeration Date | 2019-11-17 |
| Last Update Date | 2025-09-23 |