| NPI | 1609445725 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MA 10001304) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NH 5612) |
| Enumeration Date | 2021-06-22 |
| Last Update Date | 2026-02-27 |