| NPI | 1851006282 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OR R7941) |
| Additional Taxonomies | 103TS0200X Psychologist, School (Licence: OR 101245) |
| Enumeration Date | 2023-01-19 |
| Last Update Date | 2025-10-09 |