| NPI | 1336832708 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WI 8989-226) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: MN 03084) |
| Enumeration Date | 2023-05-31 |
| Last Update Date | 2026-06-01 |