| NPI | 1285398891 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MD LC14381) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MD LGP12100) |
| 101YP2500X Counselor, Professional (Licence: PA PC018226) | |
| Enumeration Date | 2021-10-29 |
| Last Update Date | 2026-02-05 |