| NPI | 1962416537 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MO 107892) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: KS 94-03341) |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2026-07-02 |