| NPI | 1043783947 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MD LC10940)  | 
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MD LPG9083)  | 
| Enumeration Date | 2019-01-03 | 
| Last Update Date | 2023-07-01 |