| NPI | 1093430209 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: AL LPC05497) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: AL ALC04252) |
| Enumeration Date | 2022-10-10 |
| Last Update Date | 2025-03-26 |