| NPI | 1750245239 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL 25983) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NC 9363) |
| Enumeration Date | 2025-12-10 |
| Last Update Date | 2025-12-10 |