| NPI | 1851798474 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MD LC6719) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH22015) |
| Enumeration Date | 2014-11-25 |
| Last Update Date | 2025-11-24 |