| NPI | 1730523085 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MS 3137) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: UT 288375-6004) |
| Enumeration Date | 2013-04-17 |
| Last Update Date | 2026-03-23 |