| NPI | 1821080102 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 101YP2500X Counselor, Professional | |
| 101YP2500X Counselor, Professional (Licence: GA 003201) | |
| Enumeration Date | 2005-08-22 |
| Last Update Date | 2025-08-05 |