| NPI | 1750046645 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: MS 3037) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MS 3037) |
| 101YM0800X Counselor, Mental Health (Licence: MS 3037) | |
| Enumeration Date | 2021-11-04 |
| Last Update Date | 2026-06-04 |