| NPI | 1194147298 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OK LPC06627)  | 
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OK LPC06627)  | 
| Enumeration Date | 2014-01-09 | 
| Last Update Date | 2024-12-31 |