| NPI | 1245530898 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: UT 7908780-6009) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 101YP2500X Counselor, Professional (Licence: SC LPC.8882PCS) | |
| Enumeration Date | 2010-10-29 |
| Last Update Date | 2024-07-23 |