| NPI | 1063007102 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MD LC13322) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MD ATC360) |
| 101YM0800X Counselor, Mental Health (Licence: PA PC017187) | |
| Enumeration Date | 2021-03-01 |
| Last Update Date | 2025-10-17 |