| NPI | 1427611524 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WI 12297-125) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MN 5601) |
| Enumeration Date | 2019-04-15 |
| Last Update Date | 2026-05-07 |