| NPI | 1700189370 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC 20856) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MO 2011033849) |
| Enumeration Date | 2010-12-21 |
| Last Update Date | 2025-09-24 |