| NPI | 1497346514 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC 16261) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: SC 10430) |
| Enumeration Date | 2021-02-01 |
| Last Update Date | 2025-03-25 |