| NPI | 1043764319 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH21538) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MO 2015023152) |
| 101Y00000X Counselor (Licence: MO 2015023152) | |
| 101YP2500X Counselor, Professional (Licence: GA LPC011412) | |
| Enumeration Date | 2016-08-04 |
| Last Update Date | 2026-05-04 |