| NPI | 1497101620 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: ID 2671367) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: VA 0701007469) |
| 101YP2500X Counselor, Professional (Licence: VA 0701007469) | |
| 101YM0800X Counselor, Mental Health (Licence: UT 12884764-6004) | |
| Enumeration Date | 2016-05-06 |
| Last Update Date | 2026-03-26 |