| NPI | 1427571645 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MT BBH-LCPC-LIC-87968) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: UT 10561270-6004) |
| Enumeration Date | 2017-07-19 |
| Last Update Date | 2026-04-10 |