| NPI | 1356072359 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 4341) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 12985) |
| Enumeration Date | 2022-06-21 |
| Last Update Date | 2025-11-25 |