| NPI | 1366851727 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: SC 6380) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NC 10885) |
| 101YM0800X Counselor, Mental Health (Licence: FL TPMC5056) | |
| Enumeration Date | 2014-08-10 |
| Last Update Date | 2026-03-25 |