| NPI | 1457003451 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MN 33018) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IL 149.024156) |
| Enumeration Date | 2022-01-20 |
| Last Update Date | 2025-07-30 |