| NPI | 1578144713 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC 16493) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: VT 068.0137377) |
| Enumeration Date | 2021-04-19 |
| Last Update Date | 2026-08-21 |