| NPI | 1790062966 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101Y00000X Counselor (Licence: VA 0701007017) |
| Enumeration Date | 2011-11-15 |
| Last Update Date | 2025-07-21 |