| NPI | 1558955963 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: SD LPC-MH30664) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: SD 20598) |
| Enumeration Date | 2021-02-25 |
| Last Update Date | 2025-04-02 |