| NPI | 1689126922 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: CT 5258) |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YM0800X Counselor Mental Health (Licence: CT 5258) | |
| 101YM0800X Counselor Mental Health (Licence: ME CC6764) | |
| 101YM0800X Counselor Mental Health (Licence: PA PC016970) | |
| Enumeration Date | 2016-11-03 |
| Last Update Date | 2025-06-25 |