| NPI | 1760093934 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IL 178.015560) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: WI 11799-125) |
| Enumeration Date | 2020-08-12 |
| Last Update Date | 2026-10-07 |