| NPI | 1265013320 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 012662) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IA 135668) |
| 101YP2500X Counselor, Professional (Licence: ID 2171888) | |
| 101YM0800X Counselor, Mental Health (Licence: FL TPMC5768) | |
| 101YP2500X Counselor, Professional (Licence: VT 068.0136890) | |
| Enumeration Date | 2021-04-19 |
| Last Update Date | 2026-03-16 |