| NPI | 1376396952 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CO LSW.0009925105) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MA LICSW1143680) |
| Enumeration Date | 2024-04-11 |
| Last Update Date | 2026-08-07 |