| NPI | 1659120913 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: VA 0904013359) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC C017292) |
| Enumeration Date | 2024-05-17 |
| Last Update Date | 2026-03-09 |