| NPI | 1215600929 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MT BBH-LCSW-LIC-72746) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NC CO18321) |
| 101Y00000X Counselor (Licence: WA SC61406356) | |
| Enumeration Date | 2021-07-28 |
| Last Update Date | 2025-09-25 |