| NPI | 1164043071 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 010051) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OR C8723) |
| 101YP2500X Counselor, Professional (Licence: NJ 37PC00938700) | |
| 101YM0800X Counselor, Mental Health (Licence: NC 20840) | |
| Enumeration Date | 2020-05-01 |
| Last Update Date | 2026-07-08 |