| NPI | 1558081729 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CO LPC0020773) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: ID 9171990) |
| 101YM0800X Counselor, Mental Health (Licence: FL TPMC6291) | |
| Enumeration Date | 2022-08-30 |
| Last Update Date | 2026-07-09 |