| NPI | 1497930309 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: SD LPC-MH2288) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL 22148) |
| Enumeration Date | 2008-01-09 |
| Last Update Date | 2025-08-11 |