| NPI | 1427487479 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: ID 6327) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: ID LPC5408) |
| Enumeration Date | 2013-11-09 |
| Last Update Date | 2026-07-30 |