| NPI | 1407952922 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MD LC1964) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH19101) |
| Enumeration Date | 2006-09-15 |
| Last Update Date | 2026-01-18 |