| NPI | 1568435535 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC 11433) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MO 2004020675) |
| Enumeration Date | 2006-02-09 |
| Last Update Date | 2025-09-22 |