| NPI | 1740986900 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OR C9750) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH25100) |
| Enumeration Date | 2023-01-31 |
| Last Update Date | 2025-03-22 |