| NPI | 1457646531 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: SC 10122) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NC 22740) |
| 101YM0800X Counselor, Mental Health (Licence: AZ 24683) | |
| Enumeration Date | 2011-06-16 |
| Last Update Date | 2026-03-24 |