| NPI | 1376829945 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC 8796) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NC QS142206) |
| 101YP2500X Counselor, Professional (Licence: NC 8796) | |
| Enumeration Date | 2011-10-27 |
| Last Update Date | 2025-02-10 |