| NPI | 1750130183 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CO LPC.0024217) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: ME CC9052) |
| Enumeration Date | 2024-05-17 |
| Last Update Date | 2026-09-23 |