| NPI | 1780169995 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IL 180.018012) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MO 2025034155) |
| Enumeration Date | 2018-10-03 |
| Last Update Date | 2026-03-13 |