| NPI | 1003524778 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: LA LPC9058) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: LA PLC9058) |
| 101YP2500X Counselor, Professional (Licence: LA 9058) | |
| Enumeration Date | 2022-11-10 |
| Last Update Date | 2025-05-20 |