| NPI | 1134579840 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: ID 9071741) |
| 101YM0800X Counselor, Mental Health (Licence: MA LMHC11493) | |
| 101YM0800X Counselor, Mental Health (Licence: UT 8339654-6004) | |
| Enumeration Date | 2016-06-14 |
| Last Update Date | 2025-07-21 |