| NPI | 1992158604 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CT 003551) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: VT 068.0136426) |
| Enumeration Date | 2016-07-18 |
| Last Update Date | 2025-07-30 |