| NPI | 1376338228 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MS 3245) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: LA 10853) |
| Enumeration Date | 2025-04-11 |
| Last Update Date | 2025-10-03 |