| NPI | 1003130766 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AZ 17495) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NC 9213) |
| 101YP2500X Counselor, Professional (Licence: GA LPC005539) | |
| Enumeration Date | 2010-03-23 |
| Last Update Date | 2025-10-29 |