| NPI | 1801514864 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NC 19816) |
| 101YM0800X Counselor, Mental Health (Licence: SC 8741) | |
| Enumeration Date | 2022-08-16 |
| Last Update Date | 2025-05-12 |