| NPI | 1407251507 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: DC PRC14490) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NM CCMH0224001) |
| 101YM0800X Counselor, Mental Health (Licence: RI MHC01334) | |
| Enumeration Date | 2014-10-31 |
| Last Update Date | 2026-02-10 |