| NPI | 1093188377 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC 11869) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: VA 0701011328) |
| Enumeration Date | 2015-11-09 |
| Last Update Date | 2025-11-16 |