| NPI | 1417696592 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MD LC16900) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CO LPC.0022178) |
| 101YM0800X Counselor, Mental Health (Licence: OH E.2505959) | |
| 101YM0800X Counselor, Mental Health (Licence: DC PRC200002400) | |
| Enumeration Date | 2022-05-27 |
| Last Update Date | 2025-12-29 |