| NPI | 1720799059 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MD LC15749) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MD LC15749) |
| Enumeration Date | 2022-12-07 |
| Last Update Date | 2025-06-26 |