| NPI | 1629440912 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: UT 9326290-6004) |
| Enumeration Date | 2015-10-26 |
| Last Update Date | 2025-02-24 |