| NPI | 1215337258 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC 10769) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL TPMC2874) |
| Enumeration Date | 2014-08-27 |
| Last Update Date | 2026-03-18 |