| NPI | 1962160150 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: DE PC-0011164) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: OR C7840) |
| Enumeration Date | 2021-12-04 |
| Last Update Date | 2025-02-03 |