| NPI | 1568114866 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC 20004) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY 013020) |
| 101YM0800X Counselor, Mental Health (Licence: FL 5840) | |
| 101YP2500X Counselor, Professional (Licence: SC 9364) | |
| Enumeration Date | 2022-01-19 |
| Last Update Date | 2025-04-10 |