| NPI | 1417495391 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NH 1238) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MA 10391) |
| Enumeration Date | 2017-02-10 |
| Last Update Date | 2025-10-08 |