| NPI | 1538501606 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WI 11230-125) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL PMH1115) |
| Enumeration Date | 2013-07-18 |
| Last Update Date | 2025-02-12 |