| NPI | 1801656269 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: ID 10210) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: ID LPC-10210) |
| Enumeration Date | 2024-03-21 |
| Last Update Date | 2025-11-05 |