| NPI | 1508471442 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OR C7331) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MN 2869) |
| Enumeration Date | 2020-09-08 |
| Last Update Date | 2025-08-21 |