| NPI | 1548040892 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: SC 11449) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: SC 8697) |
| Enumeration Date | 2023-10-04 |
| Last Update Date | 2026-04-14 |