| NPI | 1790338465 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: KY 289727) |
| Additional Taxonomies | 251B00000X Case Management |
| Enumeration Date | 2019-07-22 |
| Last Update Date | 2025-07-30 |