| NPI | 1508522301 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: KY 292260) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH26971) |
| Enumeration Date | 2021-11-16 |
| Last Update Date | 2025-12-09 |