| NPI | 1891352993 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MD LC12160) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MD LC12160) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MD LC12160) | |
| 101Y00000X Counselor (Licence: MD LC12160) | |
| 101YP1600X Counselor, Pastoral (Licence: MD LC12160) | |
| Enumeration Date | 2019-05-23 |
| Last Update Date | 2025-09-18 |