| NPI | 1508537168 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: GA LPC015037) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: DE PC-0011099) |
| Enumeration Date | 2021-09-23 |
| Last Update Date | 2026-01-08 |