| NPI | 1619306263 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC 10246) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: VA 0701015529) |
| Enumeration Date | 2013-11-04 |
| Last Update Date | 2026-06-24 |