| NPI | 1477242063 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MA LMHC10002483) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IN 39005155A) |
| 101YM0800X Counselor, Mental Health (Licence: IL 180.015624) | |
| Enumeration Date | 2023-05-01 |
| Last Update Date | 2025-12-29 |