| NPI | 1558778076 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: SC 7488) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL mh 11166) |
| Enumeration Date | 2014-07-16 |
| Last Update Date | 2025-03-27 |