| NPI | 1609943695 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MA 10005326) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: PR 1457) |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2025-10-13 |