| NPI | 1336175637 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CT 001376) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: VT 0680136275) |
| 101YP2500X Counselor, Professional (Licence: CA 4887) | |
| 101YM0800X Counselor, Mental Health (Licence: MA 12452) | |
| 101YP2500X Counselor, Professional (Licence: ME CC7838) | |
| Enumeration Date | 2006-06-25 |
| Last Update Date | 2026-05-16 |