| NPI | 1679381834 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: GA 009640) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: GA 009640) |
| Enumeration Date | 2024-12-20 |
| Last Update Date | 2025-04-07 |