| NPI | 1700113974 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CT 001723) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CT 000916) |
| Enumeration Date | 2009-11-09 |
| Last Update Date | 2025-06-15 |