| NPI | 1508264011 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 011463) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CT 7288) |
| 101YP2500X Counselor, Professional (Licence: AZ LPC-23494) | |
| Enumeration Date | 2014-12-15 |
| Last Update Date | 2024-12-03 |