| NPI | 1538840020 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: VA 0704015825) |
| Additional Taxonomies | 251B00000X Case Management |
| Enumeration Date | 2023-07-27 |
| Last Update Date | 2026-02-15 |