| NPI | 1679265334 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OR C10242) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: OR R7464) |
| Enumeration Date | 2023-05-22 |
| Last Update Date | 2025-08-19 |