| NPI | 1255853941 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CO LPC.0015688) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CO LPCC.0015529) |
| Enumeration Date | 2017-07-13 |
| Last Update Date | 2025-10-22 |