| NPI | 1508909359 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC 4835) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH6746) |
| Enumeration Date | 2007-02-14 |
| Last Update Date | 2025-09-11 |