| NPI | 1679053144 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: LA PLC9348)  | 
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: LA PLC9348)  | 
| Enumeration Date | 2018-08-15 | 
| Last Update Date | 2025-08-11 |