| NPI | 1346695780 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: GA 016295) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: GA 016295) |
| Enumeration Date | 2016-05-03 |
| Last Update Date | 2026-04-17 |