| NPI | 1679435002 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OR R12074) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: OR R12074) |
| 101YP2500X Counselor, Professional (Licence: OR R12074) | |
| Enumeration Date | 2025-11-24 |
| Last Update Date | 2025-11-24 |