| NPI | 1609649797 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: AL LPC05447) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: AL 122167) |
| Enumeration Date | 2023-11-01 |
| Last Update Date | 2025-04-22 |