| NPI | 1407621907 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: AL ALC05182) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: GA APC009343) |
| Enumeration Date | 2023-11-15 |
| Last Update Date | 2025-02-14 |