| NPI | 1821383753 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC 11115) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY 4366) |
| Enumeration Date | 2011-06-20 |
| Last Update Date | 2025-01-14 |