| NPI | 1346620614 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: SC 8616) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: SC 8616) |
| 101YP2500X Counselor, Professional (Licence: SC 8616) | |
| Enumeration Date | 2015-06-02 |
| Last Update Date | 2025-02-26 |