| NPI | 1952914780 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WI 6756) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: WI 6756-125) |
| Enumeration Date | 2020-08-31 |
| Last Update Date | 2026-06-29 |