| NPI | 1972216414 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MO 2025027027) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MO 2022049316) |
| 101YP2500X Counselor, Professional (Licence: MO 2022049316) | |
| Enumeration Date | 2022-12-29 |
| Last Update Date | 2025-10-03 |