| NPI | 1134559388 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MT BBH-LCPC-LIC-72935) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: UT 95695086004) |
| 101YM0800X Counselor, Mental Health (Licence: UT 9569508-6004) | |
| 101YM0800X Counselor, Mental Health (Licence: MT BBH-LCPC-LIC-72935) | |
| Enumeration Date | 2013-11-24 |
| Last Update Date | 2025-05-19 |