| NPI | 1558806604 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: AK 172054) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: AK 172054) |
| 174400000X Specialist | |
| Enumeration Date | 2016-12-28 |
| Last Update Date | 2026-03-27 |