| NPI | 1649744848 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC S14562) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: SC 11213) |
| 101YP2500X Counselor, Professional (Licence: VA 0701012181) | |
| 101YM0800X Counselor, Mental Health (Licence: NC S14562) | |
| Enumeration Date | 2019-01-22 |
| Last Update Date | 2026-03-28 |