| NPI | 1184217952 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MT BBH-LCPC-LIC-45311) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: MT BBH-LCPC-LIC-45311) |
| Enumeration Date | 2021-02-12 |
| Last Update Date | 2025-08-24 |