| NPI | 1124662010 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC 15306) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NC A15306) |
| Enumeration Date | 2019-11-04 |
| Last Update Date | 2026-08-24 |