| NPI | 1194074260 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MA 8975) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NH 2668) |
| Enumeration Date | 2012-09-05 |
| Last Update Date | 2026-06-24 |