| NPI | 1194847954 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA 22533) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MA 116511) |
| 101YM0800X Counselor, Mental Health (Licence: RI ISW04742) | |
| Enumeration Date | 2007-04-04 |
| Last Update Date | 2026-01-21 |