| NPI | 1235502675 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: VA 0701006039) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NC 13883) |
| 101YP2500X Counselor, Professional (Licence: VA 0701006039) | |
| Enumeration Date | 2015-11-06 |
| Last Update Date | 2025-05-02 |