| NPI | 1780566059 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC 22276) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NC 22276) |
| 101YM0800X Counselor, Mental Health (Licence: PA PC018916) | |
| Enumeration Date | 2025-07-25 |
| Last Update Date | 2025-12-17 |