| NPI | 1679818231 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC 8097) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: SC 9850) |
| Enumeration Date | 2012-12-07 |
| Last Update Date | 2025-12-18 |