| NPI | 1639854904 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: SC 11099) |
| Enumeration Date | 2023-06-15 |
| Last Update Date | 2025-08-07 |