| NPI | 1518300714 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OR R12002) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL 28337) |
| Enumeration Date | 2013-04-08 |
| Last Update Date | 2025-09-30 |