| NPI | 1902386295 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 2620) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 11533) |
| Enumeration Date | 2018-08-16 |
| Last Update Date | 2026-01-26 |