| NPI | 1629405279 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC 10333) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NC 10333) |
| 101YM0800X Counselor, Mental Health (Licence: DE MI-0000018) | |
| Enumeration Date | 2013-09-27 |
| Last Update Date | 2025-09-13 |