| NPI | 1891063772 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MO 2011037915) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL 23099) |
| Enumeration Date | 2011-12-07 |
| Last Update Date | 2026-03-22 |