| NPI | 1669180410 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH26325) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: PA PC014300) |
| Enumeration Date | 2022-11-10 |
| Last Update Date | 2025-10-06 |