| NPI | 1467064055 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OR C7287) |
| 101YP2500X Counselor, Professional (Licence: OR C7287) | |
| Enumeration Date | 2020-08-17 |
| Last Update Date | 2025-08-11 |