| NPI | 1457980922 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WY LPC2386) |
| 101YM0800X Counselor, Mental Health (Licence: NY 012112) | |
| Enumeration Date | 2020-04-06 |
| Last Update Date | 2025-07-17 |