| NPI | 1124785423 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: VA 0701010863) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: NC 18719) |
| Enumeration Date | 2021-11-21 |
| Last Update Date | 2025-06-04 |