| NPI | 1740935626 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NH 5521) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: ME CC8454) |
| Enumeration Date | 2022-02-18 |
| Last Update Date | 2026-04-13 |