| NPI | 1356001119 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IA 112212) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MO 2025031713) |
| Enumeration Date | 2021-12-21 |
| Last Update Date | 2026-04-23 |