| NPI | 1679226658 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: NC 17285) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: NC 17285) |
| Enumeration Date | 2022-01-31 |
| Last Update Date | 2025-06-02 |