| NPI | 1831762087 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: LA LPC8786) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 101YM0800X Counselor, Mental Health (Licence: LA 8786) | |
| Enumeration Date | 2021-07-23 |
| Last Update Date | 2025-12-31 |