| NPI | 1093347023 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC A15534) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: PA PC018652) |
| Enumeration Date | 2020-02-07 |
| Last Update Date | 2026-02-28 |