| NPI | 1609502996 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MD LC16623) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: VA 0701011663) |
| 101YM0800X Counselor, Mental Health (Licence: MD LC16623) | |
| Enumeration Date | 2022-07-28 |
| Last Update Date | 2025-07-11 |