| NPI | 1619617982 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 4264) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NE 266) |
| Enumeration Date | 2022-04-01 |
| Last Update Date | 2025-09-23 |