| NPI | 1851397269 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MA 12889) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NH 569) |
| Enumeration Date | 2005-06-22 |
| Last Update Date | 2025-11-03 |