| NPI | 1598418055 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC 17330) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: VA 0701014574) |
| 101YM0800X Counselor, Mental Health (Licence: SC 9254) | |
| Enumeration Date | 2022-02-03 |
| Last Update Date | 2025-04-06 |