| NPI | 1538760004 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL 17653) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MA LMHC5000981) |
| Enumeration Date | 2020-11-02 |
| Last Update Date | 2025-11-06 |