| NPI | 1376261958 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC 19012) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: GA LPC015706) |
| 101YP2500X Counselor, Professional (Licence: MO 2017029839) | |
| Enumeration Date | 2022-08-18 |
| Last Update Date | 2026-04-23 |