| NPI | 1497540025 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CO LPCC.0023057) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CO ADDC.0000591) |
| Enumeration Date | 2025-04-14 |
| Last Update Date | 2025-04-14 |