| NPI | 1821528449 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC 14710) |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YP2500X Counselor, Professional (Licence: NC 14710) | |
| 251S00000X Community/Behavioral Health | |
| Enumeration Date | 2017-06-15 |
| Last Update Date | 2025-05-01 |