| NPI | 1669015269 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC 15137) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: SC 11351) |
| Enumeration Date | 2019-10-26 |
| Last Update Date | 2025-11-12 |