| NPI | 1700907904 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OR C7228) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CO LPC 2443) |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2025-01-17 |