| NPI | 1922354331 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WV 3059) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: SC 6487) |
| Enumeration Date | 2012-08-03 |
| Last Update Date | 2026-04-15 |