| NPI | 1427601699 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC 14898) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NC L14898) |
| Enumeration Date | 2019-07-17 |
| Last Update Date | 2025-11-13 |