| NPI | 1831726033 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO 0020332) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: ID 7161279) |
| 101YM0800X Counselor, Mental Health (Licence: NM ctb-2024-0072) | |
| 101YP2500X Counselor, Professional (Licence: IL 178015715) | |
| Enumeration Date | 2020-03-26 |
| Last Update Date | 2025-07-22 |