| NPI | 1003081464 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC 317545) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: VA 0701003602) |
| Enumeration Date | 2008-04-28 |
| Last Update Date | 2025-07-21 |