| NPI | 1639764426 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: LA 8362) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: LA 8362) |
| Enumeration Date | 2021-03-04 |
| Last Update Date | 2025-07-21 |