| NPI | 1467189860 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: SD LPC-MH31069) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MN 4494) |
| 101YM0800X Counselor, Mental Health (Licence: NE 5824) | |
| Enumeration Date | 2022-08-04 |
| Last Update Date | 2026-07-01 |