| NPI | 1407604556 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: WI 11488-125) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WI 5303) |
| Enumeration Date | 2024-05-13 |
| Last Update Date | 2025-07-24 |