| NPI | 1992291710 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: PA PC010453) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 14378) |
| 101YM0800X Counselor, Mental Health (Licence: NV CP5456-R) | |
| Enumeration Date | 2018-07-04 |
| Last Update Date | 2026-04-03 |