| NPI | 1376261263 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OR R12486) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL IMH23339) |
| Enumeration Date | 2022-08-17 |
| Last Update Date | 2026-01-10 |