| NPI | 1053575456 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CT 002141) |
| Enumeration Date | 2008-07-15 |
| Last Update Date | 2025-06-04 |