| NPI | 1255814869 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: UT 10846443-6004) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: UT 10846443-6009) |
| 101YM0800X Counselor, Mental Health (Licence: WA LH61175651) | |
| 101YM0800X Counselor, Mental Health (Licence: MA LMHC10000338) | |
| Enumeration Date | 2018-09-10 |
| Last Update Date | 2023-09-06 |