| NPI | 1508132630 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC015144) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: VT 068.0135631) |
| 101YM0800X Counselor, Mental Health | |
| 101YP2500X Counselor, Professional (Licence: CT 003029) | |
| Enumeration Date | 2012-03-22 |
| Last Update Date | 2025-08-30 |