| NPI | 1710020334 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OR C5918) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: AR P2102150) |
| Enumeration Date | 2007-02-14 |
| Last Update Date | 2026-01-15 |