| NPI | 1982904215 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH c0600576) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: GA LPC14032) |
| 101YM0800X Counselor, Mental Health (Licence: CA 10224) | |
| Enumeration Date | 2010-11-03 |
| Last Update Date | 2025-11-19 |