| NPI | 1467843441 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: SC 10888) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA LPCC7088) |
| 101YM0800X Counselor, Mental Health (Licence: VA 0701011224) | |
| Enumeration Date | 2015-02-11 |
| Last Update Date | 2026-04-20 |