| 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 |