| NPI | 1083818199 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH17073) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: VA 0701004179) |
| Enumeration Date | 2007-06-13 |
| Last Update Date | 2026-02-25 |