| NPI | 1225433576 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC 11131) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NC A11131) |
| Enumeration Date | 2014-10-29 |
| Last Update Date | 2025-04-30 |