| NPI | 1427680206 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MD LC16831) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CO LPC.0021354) |
| Enumeration Date | 2020-02-10 |
| Last Update Date | 2026-08-10 |