| NPI | 1427536200 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: VT 068.0134285) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 101YM0800X Counselor, Mental Health (Licence: NY 011577) | |
| 101YP2500X Counselor, Professional (Licence: NJ 37PC00989700) | |
| Enumeration Date | 2018-08-02 |
| Last Update Date | 2026-07-07 |