| NPI | 1780263533 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC A16444) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: SC 11067) |
| Enumeration Date | 2021-04-07 |
| Last Update Date | 2025-06-16 |