| NPI | 1518005446 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MA LMHC10734) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 18706) |
| 101YP2500X Counselor, Professional (Licence: MO 2012003369) | |
| Enumeration Date | 2007-02-02 |
| Last Update Date | 2025-03-27 |