| NPI | 1760121883 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: KY 305367) |
| Enumeration Date | 2022-05-27 |
| Last Update Date | 2026-04-15 |