| NPI | 1447648340 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH23411) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WI 5372-125) |
| Enumeration Date | 2014-12-30 |
| Last Update Date | 2026-03-20 |