| NPI | 1386087641 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: VA 0701014967) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MD LC11218) |
| Enumeration Date | 2013-04-16 |
| Last Update Date | 2026-09-30 |