| NPI | 1003247677 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: ID LCPC-8331) |
| 101YM0800X Counselor, Mental Health (Licence: WA LH61155476) | |
| 101YM0800X Counselor, Mental Health (Licence: UT 12888612-6004) | |
| Enumeration Date | 2013-12-09 |
| Last Update Date | 2026-02-03 |