| NPI | 1003154634 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC CO14896) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA LCSW94934) |
| Enumeration Date | 2013-01-16 |
| Last Update Date | 2024-12-16 |