| NPI | 1235886136 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: SC 10749) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NC A17397) |
| 1041C0700X Social Worker, Clinical (Licence: NC 17397) | |
| 101YP2500X Counselor, Professional (Licence: NC A17397) | |
| 101Y00000X Counselor (Licence: NC A17397) | |
| Enumeration Date | 2022-03-10 |
| Last Update Date | 2025-09-30 |