| NPI | 1053966721 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MA lmhc10002512) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 101YM0800X Counselor, Mental Health (Licence: RI MHC01191) | |
| Enumeration Date | 2019-08-08 |
| Last Update Date | 2026-06-24 |