| NPI | 1487427514 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MS 3134) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL TPMC5526) |
| 101YP2500X Counselor, Professional | |
| Enumeration Date | 2023-10-31 |
| Last Update Date | 2026-03-19 |