| NPI | 1144794926 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: SD LPC-MH30538) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: SD 20237) |
| 101Y00000X Counselor (Licence: SD LPC-MH30538) | |
| Enumeration Date | 2019-01-15 |
| Last Update Date | 2025-11-21 |