| NPI | 1104469048 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA MHC.LH.61176770) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NJ 37PC00876500) |
| 101YM0800X Counselor, Mental Health (Licence: MD LC13180) | |
| Enumeration Date | 2019-10-23 |
| Last Update Date | 2026-03-17 |