| NPI | 1457990764 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MT BBH-LCPC-LIC-44299) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OR C8098) |
| 101YM0800X Counselor, Mental Health (Licence: MA LMHC10001348) | |
| Enumeration Date | 2020-01-03 |
| Last Update Date | 2024-12-01 |