| NPI | 1316321334 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: VA 0701011908) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NC 9389) |
| Enumeration Date | 2015-07-20 |
| Last Update Date | 2026-03-04 |