| NPI | 1164583530 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: MA LMHC5745) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: MA 5745) |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2025-02-16 |