| NPI | 1578082483 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC 21648) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: LA 7733) |
| Enumeration Date | 2017-09-12 |
| Last Update Date | 2025-12-05 |