| NPI | 1376013896 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MO 2018036140) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IA 129031) |
| Enumeration Date | 2018-11-27 |
| Last Update Date | 2025-01-15 |